FAIRFIELD VILLAGE - FORT WAYNE, IN

United States hospital / nursing home:
FAIRFIELD VILLAGE - FORT WAYNE, IN

FAIRFIELD VILLAGE
2626 FAIRFIELD AVENUE
FORT WAYNE, IN 46807


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by FAIRFIELD VILLAGE:

  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to non residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to non residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to residents
  • Speech/language pathology services are provided onsite to non residents
  • Speech/language pathology services are provided onsite to residents
  • Diagnostic xray services are provided onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 110

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 110

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 78

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 6.66

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.33

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 3

Prior change of ownership (The date of a prior change of ownership): Apr 1997

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.17

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 32

Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 0.10

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 25.83

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.66

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.20

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2.69

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 4.79

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.87

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.39

Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 1.50

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.23

Medication aides/techs-Contract (The number of full-Timr equivalent medication aides/ technicians under contract to a facility): 0.47

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.37

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EAGLECARE INC

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 0.53

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 2.29

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.57

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 6.66

Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 3.29

Other activities staff-Full time (Number of full-time staff hours for other activities): 2.44

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.09

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14

Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.57

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.29

Rn director of nursing - Full time (The number of full-time equivalent rn director of nursing employed by a facility on a full time basis): 1.14

Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.71

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Jun 2001

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jan 1971